Mindy Kay Wortmann (NPI# 1962993584, PAC ID# 7315290467) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962993584 |
| PAC ID by PECOS | 7315290467 |
| Professional Enrollment ID | I20181019000741 |
| Full Name | Mindy Kay Wortmann |
| Organization Legal Name | INTERVENTIONAL PAIN INSTITUTE, LLC |
| Address |
1405 N Truman Blvd Festus MO 63028-1177 |
| Phone Number | 6369332243 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153451919 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260023 | MERCY HOSPITAL JEFFERSON |
| 260179 | ST LUKES HOSPITAL |
| 260020 | MERCY HOSPITAL ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 1405 N Truman Blvd, Festus, MO 63028-1177 | 6369332243 | INTERVENTIONAL PAIN INSTITUTE, LLC |
| Organization Legal Name | INTERVENTIONAL PAIN INSTITUTE, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramis Gheith | Interventional Pain Management | Interventional Pain Institute, LLC | 17300 N Outer 40, 100 Interventional Pain Institute LLC, Chesterfield, MO 63005-1364 |
| Ellenor S Chance | Nurse Practitioner | Interventional Pain Institute, LLC | 2700 Lighthouse Pt E, Suite 402, Baltimore, MD 21224-4769 |
| Krupa Shah | Physician Assistant | Interventional Pain Institute, LLC | 2700 Lighthouse Pt E, Suite 402, Baltimore, MD 21224-4769 |
| Joelle Butler | Nurse Practitioner | Interventional Pain Institute, LLC | 2700 Lighthouse Pt E, Baltimore, MD 21224-4769 |
| Street Address |
1405 N TRUMAN BLVD |
| City | FESTUS |
| State | MO |
| Zip | 63028-1177 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip J Ward | Physical Therapy | Central Missouri Physical Therapy LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Ashley P Schwendeman | Physical Therapy | Central Missouri Physical Therapy LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah L Jensen | Dermatology | 1463 Hwy 61 B, Festus, MO 63028 | |
| Chandra B Dommaraju | Infectious Disease | 1400 Hwy 61 240b, Festus, MO 63028 | |
| Robert J Evens | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| Paul H Wang | Psychologist, Clinical | 1400 Hwy 61 S, Festus, MO 63028 | |
| Kevin T Baumgartner | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| Steven A Harvey | Psychiatry | 23 N 6th St, My Place Residential Facility, Festus, MO 63028-1301 | |
| William W Clendenin | Psychiatry | 705 Moore St, Festus, MO 63028-1339 | |
| Richard C Mcgraw | Clinical Social Worker | 1598 Saint Marys Ln, Festus, MO 63028-1543 | |
| Michael L Yankowitz | Podiatry | 1216 W Mian, Festus, MO 63028-1654 | |
| Kevin J Sides | Family Medicine | St Anthony's Physician Organization | 1216 W Main St, St Anthony's At Festus Fam Medic, Festus, MO 63028-1654 |
| Find all physicians in zip 63028 | |||
| City | FESTUS |
| Zip Code | 63028 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FESTUS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mindy Kay Wortmann.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.